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altered hormonal and metabolic function - Coggle Diagram
altered hormonal and metabolic function
Inappropriate ADH secretion
excessive production
syndrome of inappropriate antidiuretic hormone
clinical manifestations
decreased urine output
anorexia
related to hyponatremia
diagnostic criteria
hyponatremia
hypotonicity
decreased/highly concentrated urine volume
absence or renal, adrenal, thyroid abnormalities
treatment
water restriction
isotonic or hypertonic IV
insufficient production
diabetes insipidus
clinical manifestation
polyuria
polydipsia
diagnostic criteria
pt history
removal of brain tumor
head trauma
dehydration
lab measurements
serum solute concentration
ADH levels
urine specific gravity
treatment
hydration
desmopressin
thyroid hormone production
excessive production
hyperthyroidism
clinical manifestations
goiter
exophthalmos
other manifestations related to enlargement of thyroid gland and excessive met rate
diagnostic criteria
pt history
hist of autoimmune disease, thyroid disease, iodine-deficiency
enlarged/firm thyroid gland
protrusion of eyes
measuring free thyroxine in the serum
treatment
reducing thyroid hormone levels
gland destruction
radioactive iodine
meds that block thyroid hormone
ablation
deficient production
hypothyroidism
clinical manifestations
fatigue
cold intolerance
dry skin
impaired reproduction
myxedema
diagnostic criteria
lab studies
free T4
total T4
T3 uptake
thyroid autoantibodies
anitithyrogobulin
treatment
thyroid hormone replacement therapy
levothyroxine
Cushing Syndrome
clinical manifestations
obesity
striae
extremity weakness
osteoperosis
diagnostic criteria
24-hour urine collection
elevations in cortisol levels are noted
treatment
removing cause of excess hormone production
surgery
radiation
corticosteroid
altered ACTH production
Addison Disease
clinical manifestations
based on which steroid hormones are insufficient
glucocorticoids
hypoglycemia
weakness
poor stress response
vomiting
mineralocorticoids
dehydration
hyponatremia
hyperkalemia
hypotension
androgens
sparse axillary/pubic hair
diagnostic criteria
electrolyte levels
hyponatremia
hyperkalemia
serum corticosteroid levels
treatment
isotonic IV fluid
oral glucocoticoids and mineralcorticoids
altered ACTH production